NPIMap

Organization Active NPI

Preferred Vascular Services Cleveland LLC

Doing business as Preferred Vascular Services Cleveland

  • Vascular Surgery Physician
  • Beachwood, OH
National Provider Identifier
1346734365
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
PREFERRED VASCULAR SERVICES CLEVELAND LLC
Doing business as
Preferred Vascular Services Cleveland
Practice address
23650 Commerce Park Ste a
Beachwood, OH 44122-5817
Phone
(216) 273-8010
Fax
(216) 378-9005
NPI assigned
Jun 22, 2018
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Boyd Baldock
Title
VP, License/HC Reg MGT
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

23650 Commerce Park Ste a
Beachwood, OH 44122-5817

Mailing address

9140 Corsea del Fontana Way
Naples, FL 34109-4397
Phone (239) 597-2010

Other practice location 1

23650 Commerce Park Ste B
Beachwood, OH 44122-5817
Phone (216) 273-8010

Other names 1

  • Preferred Vascular Services Cleveland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411002328 OH Part B Supplier - Clinic/Group Practice 5991046369 Receives reassigned benefits from 10 practitioners
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

23650 Commerce Park
Ste B
Beachwood, OH 44122
Phone (216) 273-8010

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1346734365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 CORSEA DEL FONTANA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094397",
            "telephone_number": "239-597-2010",
            "fax_number": "239-597-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23650 COMMERCE PARK STE A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225817",
            "telephone_number": "216-273-8010",
            "fax_number": "216-378-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23650 Commerce Park Ste B",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225817",
            "country_code": "US",
            "telephone_number": "216-273-8010",
            "fax_number": "216-378-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREFERRED VASCULAR SERVICES CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "VP, LICENSE/HC REG MGT",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Vascular Services Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.